Individual
MARCEL GERARDO PEREZ REVERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
62 W 7TH AVE STE 420, SPOKANE, WA 99204-2321
(509) 626-9440
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-0001
(866) 747-2455
(509) 944-9644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA70076782
WA
Other
Enumeration date
05/03/2024
Last updated
12/31/2025
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